Effects of Dialectical Behavior Therapy on Emotion Regulation, Distress Tolerance, Craving, and Depression in Patients with Opioid Dependence Disorder

Rezaie, Zeinab; Afshari, Behrooz; Balagabri, Zohreh

doi:10.1007/s10879-020-09487-z

Cited by 16 publications

(16 citation statements)

References 49 publications

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“…Although the findings were not statistically significant, group differences in the amount of opioids used were observed with 50% of the distress tolerance group reporting use compared to 56% in the control at two‐month follow‐up, and 62.5% of distress tolerance group compared to 72% of the control group reporting use at 3‐month follow‐up 24 . Recently, Dialectical Behavior Therapy (DBT) has shown a promising impact on distress tolerance and emotion regulation skills in opiate‐dependent individuals actively engaging in methadone maintenance treatment (MMT) 35 . Fifty participants were randomized to receive MMT + DBT or MMT alone with the MMT + DBT group completing 16 weekly, 90‐min sessions of DBT.…”

Section: Discussionmentioning

confidence: 99%

“…Fifty participants were randomized to receive MMT + DBT or MMT alone with the MMT + DBT group completing 16 weekly, 90‐min sessions of DBT. Results showed that targeting distress tolerance and emotion regulation through DBT significantly improved distress tolerance and emotion regulation, and also reduced opiate‐related cravings and depression symptoms 35 . Targeting specific motives for use with distress tolerance treatment may help improve treatment outcomes for those with PO use disorder and alexithymia.…”

Section: Discussionmentioning

confidence: 99%

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Motives for prescription opioid use: The role of alexithymia and distress tolerance

et al. 2021

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Background and Objectives Prescription opioid (PO) use disorder is a national public health crisis. Distress tolerance and alexithymia are two separate but related components of emotion regulation that are known to impact substance use disorders. No studies to date, however, have examined the role of distress tolerance and alexithymia in PO use disorder. Thus, the current study examined the association between distress tolerance, alexithymia, and specific motivations for PO use. Methods Participants were non‐treatment‐seeking individuals with current PO use disorder (N = 81; average age = 35.0). Assessments included the Distress Tolerance Scale, Toronto Alexithymia Scale, and the Inventory of Drug Taking Situations. Results The findings indicate that distress tolerance mediated the association between alexithymia and PO use in negative situations. Specifically, distress tolerance mediated the association between alexithymia and unpleasant emotions, testing personal control, and conflict with others. Conclusions and Scientific Significance The results provide novel information regarding emotional states that may contribute to PO use and are malleable intervention targets. Additionally, this study adds to existing literature exploring the relationship between distress tolerance and substance use and is the first to expand upon the connection between alexithymia and distress tolerance in an opioid‐using population. Implications for clinical practice and future research are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Motives for prescription opioid use: The role of alexithymia and distress tolerance

et al. 2021

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“…Although DBT was primarily designed to treat BPD, research has shown that it is helpful for other disorders [36][37][38][39]. We now know that this type of treatment is helpful for people who have difficulty adjusting their emotions, even if the cause is not related to a mental disorder.…”

Section: Dialectal Behavior Therapymentioning

confidence: 99%

Psychotherapy of Panic Disorder: Revisiting Past and Present Research and Moving toward Future Directions

Afshari¹

2023

The Psychology of Panic

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Panic disorder is one of the most debilitating mental disorders. Therefore, it is necessary to apply treatments for this problem to eliminate the disability of patients. Both psychotherapy and medication have been shown to reduce the frequency and severity of panic attacks and panic disorder. In this chapter, we first mentioned cognitive-behavioral therapy as the cornerstone of psychotherapy for panic disorder and then, medication as one of the most common treatments for this disorder. Cognitive-behavioral therapy has been found by numerous studies to be the most important psychotherapy for panic attacks and panic disorder. Medication is another effective treatment because some medications can be very helpful in managing the symptoms of a panic attack as well as anxiety and depression. Finally, emotion regulation therapies for the treatment of panic disorder will be introduced and explained for the first time.

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“…La disfunción de la regulación se ha asociado con múltiples trastornos emocionales y del comportamiento, entre los que se encuentran las autolesiones, el trastorno límite de la personalidad y el consumo de sustancias psicoactivas, entre otros (Cerpa & Muñoz, 2005;Garke et al, 2021;Garland et al, 2020;Marín et al, 2012;Parolin et al, 2017;Rodríguez, et al, 2017). Además, la desregulación emocional influye tanto en el desarrollo, como en el mantenimiento y tratamiento del consumo de SPA, y actúa como factor de riesgo para sufrir recaídas (Blanco & Jiménez, 2015;Rezaie et al, 2021;Wegen et al, 2017;Zavala & López, 2012). Blanco y Jiménez (2015) encontraron que puntuaciones bajas en regulación emocional en jóvenes son un factor de riesgo para la ocurrencia de recaídas en los tratamientos de recuperación de consumo de SPA.…”

Section: Regulación Emocionalunclassified

Desregulación emocional y nivel de riesgo por consumo de sustancias psicoactivas en universitarios colombianos

et al. 2022

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El consumo de sustancias psicoactivas [SPA] es un problema de salud pública, y constituye uno de los principales factores de riesgo para la salud. Se ha observado que el consumo de SPA está mediado por diferentes variables, una de ellas es la desregulación emocional, y se requiere mayor investigación del comportamiento de esta variable y su relación con los niveles de riesgo asociado al consumo. El objetivo del presente estudio fue determinar si existen diferencias en la desregulación emocional según el nivel de riesgo asociado al consumo de sustancias en una muestra de universitarios. Para tal efecto se adelantó un estudio descriptivo por comparación de grupos con una muestra de 721 estudiantes. Los resultados indicaron altas prevalencias de consumo de SPA; diferencias en los puntajes de desregulación emocional según el nivel de riesgo para tranquilizantes y cocaína, y que, a nivel general, aquellos universitarios con menor nivel de riesgo son quienes presentan menores puntajes de desregulación emocional, lo que sugiere que la desregulación emocional es una variable predictora de un mayor nivel de riesgo asociado al consumo de SPA.

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Effects of Dialectical Behavior Therapy on Emotion Regulation, Distress Tolerance, Craving, and Depression in Patients with Opioid Dependence Disorder

Cited by 16 publications

References 49 publications

Motives for prescription opioid use: The role of alexithymia and distress tolerance

Motives for prescription opioid use: The role of alexithymia and distress tolerance

Psychotherapy of Panic Disorder: Revisiting Past and Present Research and Moving toward Future Directions

Desregulación emocional y nivel de riesgo por consumo de sustancias psicoactivas en universitarios colombianos

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